Provider Demographics
NPI:1558803429
Name:STANFIELD, JENNA (MA, REGISTERED PSYCH)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:STANFIELD
Suffix:
Gender:F
Credentials:MA, REGISTERED PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 S WADSWORTH BLVD UNIT T
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5009
Mailing Address - Country:US
Mailing Address - Phone:303-231-0090
Mailing Address - Fax:
Practice Address - Street 1:1827 FEDERAL BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1724
Practice Address - Country:US
Practice Address - Phone:303-231-0090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor